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General NPI Number Information
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NPI Number | 1952577892
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC SURGERY SPECIALISTS, INC.
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 15243 GREENFIELD DR SUITE A
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City | ATHENS
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State | AL
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Zip | 35613-2899
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Country | US
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Telephone | 256-233-2332
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Fax | 256-216-3579
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Provider Business Mailing Address
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Address Line | 1860 US HIGHWAY 43
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City | WINFIELD
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State | AL
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Zip | 35594-5062
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Country | US
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Telephone | 205-487-1111
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Fax | 205-487-1114
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH PATRICK BOYETT
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Credential | D.O.
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Telephone | 205-487-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DO-530
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License Number State | AL
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